The 28-year-old Gloucester tighthead, who joins Jonny Wilkinson and Lewis Moody on the sidelines, must undergo surgery for the second time in under 18 months and will be out of action for 12 weeks after a decision was taken for him to go under the knife this Friday in an attempt to rectify a bulging disc.

Some reality TV shows tout happiness as just a nip/tuck away - and teens fond of these kinds of programs are more likely to join the millions who go under the knife each year, says Charlotte Markey, a Rutgers-Camden psychologist.

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